31D0682950 CLIA NUMBER - ADVANCED LASER AND SKIN CANCER CENTER, LLC

Laboratory Demographics

  • CLIA Code: 31D0682950
  • Facility Name: ADVANCED LASER AND SKIN CANCER CENTER, LLC
  • Facility Address: 870 PALISADE AVENUE, SUITE 302 THE DOCTORS BUILDING
    TEANECK, NJ
    ZIP 07666
  • Facility Phone: 201 836-9696
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: GANGARAM RAGI
  • NPI Number: 1124138995
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 31D0682950
LAB Type Physician Office
Facility Name ADVANCED LASER AND SKIN CANCER CENTER, LLC
Street 870 PALISADE AVENUE, SUITE 302 THE DOCTORS BUILDING
City TEANECK
State NJ
ZIP 07666
Phone 201 836-9696
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director GANGARAM RAGI

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This page was last updated on: 9/29/2025